Lifting Clamp Survey Report Template

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Page _____ of Page _____
LIFTING CLAMP SURVEY REPORT
Date
Held By
Company
Safety Director
Address
Other
Manufacturer
Model
Cap
Jaw
Serial Number
Location in Plant
Condition**
Comments
** Indicate A, B or X
A = Good Visual Condition
B = Needs Repair Parts
X= Beyond Repair, Discard

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